title: [Experience with the treatment of combined open injuries to the upper extremities with affected main arteries].
abstract: The paper deals with the principles of management of combined mechanical injuries to the upper extremities with special reference to amputation of their segments based on the 3-year experience with the treatment of 1488 patients including 405 ones with traumatic amputations. Replantation of large and small segments was undertaken in 24 and 76% of the cases respectively. 43% of the patients underwent one-step traumatic amputation of two and more segments. Skin and soft tissue defects occurred in 111 patients including 27 with extensive lesions. 82.4% of the surgical interventions had the desired outcome. An example of successful replantation is described. The results are compared with the literature data.
authors.forename: P É
authors.initials: PÉ
authors.lastname: Asamov
authors.forename: T R
authors.initials: TR
authors.lastname: Minaev
authors.forename: R A
authors.initials: RA
authors.lastname: Akhmedov
authors.forename: A A
authors.initials: AA
authors.lastname: Iuldashev
authors.forename: O N
authors.initials: ON
authors.lastname: Nizov
authors.forename: A B
authors.initials: AB
authors.lastname: Khakimov
mesh_terms: D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001916:Brachial Artery / Q000293:injuries / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D009336:Necrosis / Q000209:etiology; D017410:Practice Guidelines as Topic; D011859:Radiography; D012092:Replantation / Q000009:adverse effects / Q000379:methods; D014186:Transportation / Q000379:methods / Q000592:standards; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*